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Abdominal Radiology
Published in: Abdominal Radiology 2/2019

01-02-2019 | Classics in Abdominal Radiology

The central dot sign of epiploic appendagitis

Author: Hamed Nejadhamzeeigilani

Published in: Abdominal Radiology | Issue 2/2019

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Excerpt

Epiploic appendagitis is the acute inflammation and infarction of epiploic appendages, commonly secondary to torsion. It is a great mimicker as its clinical manifestation may be similar to appendicitis, diverticulitis, or colitis. Focal abdominal pain, tenderness, and mild pyrexia are clinical features of the condition [1]. Epiploic appendages are pedunculated adipose structures which extend from the serosal surface of the colon, along the free taenia and taenia omentalis. They are abundant in the caecum and sigmoid colon and absent in the rectum [2]. …
Literature
1.
Almeida AT, Melão L, Viamonte B, Cunha R, Pereira JM (2009) Epiploic appendagitis: an entity frequently unknown to clinicians–diagnostic imaging, pitfalls, and look-alikes. AJR 193(5):1243–1251CrossRefPubMed
2.
Brant WE, Helms CA (2012) Fundamentals of diagnostic radiology, 4th edn. Philadelphia: Lippincott Williams & Wilkins
3.
Eberhardt SC, Strickland CD, Epstein KN (2016) Radiology of epiploic appendages: acute appendagitis, post-infarcted appendages, and imaging natural history. Abdom Radiol (NY). 41(8):1653–1665CrossRefPubMed
4.
Han Q, Nair RT, DiSantis DJ (2016) The hyperattenuating ring sign of acute epiploic appendagitis. Abdom Radiol (NY). 41(7):1431–1432CrossRefPubMed
Metadata
Title
The central dot sign of epiploic appendagitis
Author
Hamed Nejadhamzeeigilani
Publication date
01-02-2019
Publisher
Springer US
Published in
Abdominal Radiology / Issue 2/2019
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-018-1769-8

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